Arkansas Blue Cross Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, benefit inquiries, and admissions. The role evaluates medical necessity using evidence-based criteria and company policies.
Required RN with active license and 4+ years of clinical practice in medical-surgical, surgical, ICU, or critical care. Work from home within several states; remote-friendly with cost containment focus.
#J-18808-LjbffrRemote RN: Utilization Management & Care Optimization in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.